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Clinical Pharmacist Specialist - Emergency Dept (Full Time)

PHARMACY Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus Miami, Florida Requisition ID 22747


Job Summary

The Clinical Pharmacy Specialist - Emergency Department is responsible for the provision of comprehensive clinical pharmacy services in the ED at Nicklaus Children's Hospital. This role will primarily be focused and based in the Emergency Department and will also have other responsibilities depending on departmental need. Clinical responsibilities for this role include but are not limited; to participation in critical and acute resuscitations, traumas, and codes, support in the selection, procurement, preparation, monitoring and administration of medications, prospective medication order review, medication reconciliation, discharge patient consultation, drug information and education, precepting and training of pharmacy staff, residents, and students, and policy and pathway development, implementation and review including pharmacokinetic and therapeutic consultation, clinical effectiveness program (CEP) involvement, quality improvement and medication safety

Job Specific Duties

  • Performs and documents drug therapy monitoring and interventions on medication dosing, administration, drug interactions, monitoring and adverse reactions. 
  • Actively participates in clinical pharmacy program and services, ands act as a consultant in areas of expertise.
  •  Responds to pediatric and adult codes/traumas in ED and throughout
    organization as assigned.
  • Assists with admission reconciliation, discharge counseling, order processing and delivery to area of service.
  • Attends and actively contributes to daily patient care activities, clinical services meetings, hospital committees, task forces and projects, including protocol/pathway development, order set development and optimization, and cost-savings and quality initiatives as assigned. 
  • Executes established policies, procedures and protocols to ensure safe, appropriate, cost-effective medication therapies for patients and recommends therapeutic alternatives to medical staff as needed.
  • Documents quality activities to achieve established metrics to meet standards of DNV-GL accreditation, institutional, state and federal requirements on interventions, adverse reactions, medication errors, contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose. 
  • Demonstrates and maintains competency with safe use of pharmacy and hospital clinical information systems (Cerner, PyxisES, C2Safe, Baxa TPN Dose Edge, Vigilanz, MILT4, Lexicomp, and PC desktop systems).
  • Provides drug information through in-service education and daily support for pharmacy department staff, hospital clinical staff, medical residents and medical staff and consultation with patients and families. 
  • Functions as a Staff Clinical Pharmacist as assigned, and satisfactorily performs the essential duties of the role for medication management. 
  • Assists with training of pharmacy staff on code response and emergency preparedness.
  • Develops quality improvement projects and participates in the quality improvement and medication use review activities of the department.
  • Precepts and educates pharmacy residents and pharmacy students. F: Monthly/ T: 40+ hours R: Individual
  • Prepares and collects data for MUE's, drug monographs for the P&T and special projects assigned by Clinical Manager. 
  • Provides clinical support for multidisciplinary committees, including the Pharmacy and Therapeutics Committee, through development of materials to support clinical evaluation of drugs, procedures, and processes including the coordination and reporting of adverse drug reactions, pharmacist interventions and other quality initiatives, within areas of direct responsibility.
  • Achieves cost savings targets and actively contributes to the pharmacy department's pharmacoeconomic efforts and formulary management and assists the department leadership with maintaining budget targets.
  • Provides clinical support for multidisciplinary committees, including the Pharmacy and Therapeutics Committee, through development of materials to support clinical evaluation of drugs, procedures, and processes including thecoordination and reporting of adverse drug reactions, pharmacist interventions and other quality initiatives, within areas of direct responsibility.
  • Advances the profession through publication, presentations at local, state, or national meetings and providing community education.


Minimum Job Requirements

  • Bachelor's Degree Science in Pharmacy or Doctorate of Pharmacy (PharmD) 
  • Eligible for/or current Florida Pharmacist License  - maintain active and in good standing throughout employment
  • American Heart Association (AHA) BLS - maintain active and in good standing throughout employment
  • 4-7 years of hospital experience as a Pediatric Pharmacist (OR) PGY-1 Pharmacy Residency in Pediatric Setting or PGY-2 Pediatric Residency

Knowledge, Skills, and Abilities

  • Knowledge of pharmacokinetic and pharmacotherapeutic properties of medications as they relate to the pediatric population
  • Knowledge of drug therapy management in acute pediatric conditions and pediatric and adult medical emergencies
  • Knowledge of pharmacist roles in resuscitations and direct patient care activities, including critical medication dosing, preparation, and administration
  • Ability to assess patient care conditions and evaluate patient response to medication therapy regimens
  • Ability to communicate and present information effectively in both oral and written form with all levels of hospital personnel and all patient groups
  • Ability to collaborate in a multi-disciplinary setting and serve as a liason between the pharmacy department and the nursing and medical staff
  • Ability to perform drug therapy monitoring and intervene as necessary on drug dosing, interactions, adverse effects and monitoring
  • Ability to intepret medication orders, medication profile lists, and oversee the distribution of medications
  • Ability to problem solve and think analytically
  • Ability to provide supervisory oversight for technical staff related to medication preparation and dispensing
  • Ability to troubleshoot in a timely manner including weekends and holidays
  • Ability to relate cooperatively and constructively with patients, co-workers, clinical/ medical staff, and interdisciplinary teams
  • Previous experience with Cerner, PyxisES, C2Safe, Baxa TPN, Dose Edge, MILT4, Lexicomp, Vigilanz, and PC desktop systems or equivalent pharmacy systems
  • Motivated and self- directed with a high degree of professional accountability.
  • Proficient in PC applications including Microsoft Office: Word, Excel, Access

Job :


Primary Location :

Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus

Department :


Job Status

:Full Time

Joining a new organization can be daunting or overwhelming. But at Nicklaus, your colleagues make you feel welcomed. They taught me to celebrate our accomplishments and band together during challenging times. This is not easy to find in healthcare these days, so I’m grateful to have found an amazing place to work with people and leadership who have my well-being in mind.

Lova Renee Brunson Manager Accreditation & Regulatory

Collaboration leads to success.

Alone we can do so little; together we can do so much. Working together, we find solutions and methods we would never find alone, and at Nicklaus Children’s, we have fun doing it.

Responsibility drives us.

We all take responsibility here – for the children, their families, our work and each other. We meet our responsibilities head on and motivate each other to succeed.

Empower yourself, help others.

Nicklaus Children’s encourages team members to believe in their ability to affect positive change in the world through everything they do with us.

Advocate for the right way.

Advocate for children. Advocate for families. Advocate for yourself. But most of all, advocate for getting the job done right and you will find nothing but success and support in your career here.

Transformation is growth.

At Nicklaus Children’s, change is not to be feared. When you work here, you are always working with the most advanced tools and procedures available.

Empathy is everything.

We expect our team members to have empathy for the patients and families they treat, and in turn, we have empathy for them. We take care of everyone in the Nicklaus Children’s family with competitive benefits and our supportive culture.

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As champions for children, Nicklaus Children’s is committed to putting the health and safety of our patients, families, medical staff and employees first. With the increasing number of adults and children in our community experiencing illness from the coronavirus and its variants, our course of action is clear. Vaccination offers proven protection against severe COVID-19-related illness. All members of our team are required to be fully vaccinated against COVID-19. Accommodations are being made for those who have a medical reason where they cannot receive the vaccine or have a strongly held religious basis for not obtaining it.

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